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Jr <br />BUILDING PERMIT INFORMATION <br />ADDRE55 TYPE 5������E �P����Y ,tr� <br />(1) BUILDING PERMIT FEE �SZ� �OD •�' S � Z3. b"Z� <br />(A) PLAN CHECK F[E � 9• � � _ <br />(2) PLUMBING �- `�� � v <br />(3) MECHANICAL !�CO•S7� <br />(4) WATER SERVICE TO Bf PAlD PRIOR TO BUII.DINC PERMil ISSUANCE ��'�� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. _ WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWA'f PERMI: TO BE PAID PRIOfi TO BUIl.DING PE�(MIT IS- <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARGES: <br />B:�ND -�� DIST`lICT <br />NOTES <br />DRIVEWAY(TYPE) 8 <br />S <br />fiiZ��7_[�1� <br />N, S. E, W <br />SEWER CONNECTION CHARCES <br />YEAR � � TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT fEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY 5EWER CHARGES: <br />SEWkR CONSTRUCTION <br />LATERAL <br />24. 0 U <br />g ��.DO <br />b „3cD. DO <br />i <br />SEWER SERVlCE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ���,C.� 7"� /-'/.•'Di° Li.ut <br />d�ilox �n 7-r; �l o� M/-/ B <br />CHART���� ��(o- Z9 --�- <br />INFO COMPILED 8Y: <br />APPROVAL: <br />s ea <br />DATE <br />DATE <br />